Congratulations on the Faculty of Health & Social Sciences team which had its paper ‘Vital signs and other observations used to detect deterioration in pregnant women: an analysis of vital sign charts in consultant-led UK maternity units’ accepted by the International Journal of Obstetric Anesthesia (published by Elsevier).
The paper compares: (i) vital sign values used to define physiological normality; (ii) symptoms and signs used to escalate care; (iii) 24 type of chart used; and (iv) presence of explicit instructions for escalating care. The authors conclude that the wide range of ‘normal’ vital sign values in different systems used in the UK and the Channel Islands suggests a lack of equity in the processes for detecting deterioration and escalating care in hospitalised pregnant and postnatal women. Agreement regarding ‘normal’ vital sign ranges is urgently required and would assist the development of a standardised obstetric early warning system and chart. The lead author of this new paper is FHSS Visiting Professor Gary Smith, his co-authors include FHSS staff Vanora Hundley, Lisa Gale_Andrews and Edwin van Teijlingen as well as three BU Visiting Faculty: Debra Bick (King’s College London), Mike Wee (Poole Hospital NHS Foundation Trust) and Richard Isaacs (University Hospital Southampton).
Category / Nursing & Midwifery
PPI Seminar 2: How the Public can Inform Research Design – A Case Study
Importance of public involvement in research design: An orthopaedic case study
Lisa Gale-Andrews & Dr Zoe Sheppard
Date Monday 15th March 2017
Time 3:00 – 4:30 pm
Location EB708, Executive Business Centre, 89 Holdenhurst Road, Bournemouth University
Overview
This workshop will highlight the importance of patient and public involvement (PPI) throughout the research cycle, using an orthopaedic example.
As part of the Public and Patient Involvement (PPI) in Research seminar series
Book your place now: https://patientandpublicinvolvement.eventbrite.co.uk
Refreshments are available and there will be plenty of time for discussion at the seminar end. Queries please contact:
Dr James Gavin
Email jgavin@bournemouth.ac.uk
Phone +44 (0)1202566303
One week: five FHSS publications
Last week was a good week for FHSS from a publishing perspective. On the last day of February Sociological Research Online published a book review with Dr. Pramod Regmi as first author, which we highlighted in an earlier BU Research Blog (see more here!) [1]. On the same the same day we received news from the Journal of Travel Medicine (published by Oxford University press) that our latest article on research in Nepal was accepted for publication. Our paper ‘Identifying the gaps in Nepalese migrant workers’ health and well-being: A review of the literature’ addresses the health and well-being of migrant health workers and ‘brings’ this to travel medicine specialists [2].
On Thursday our article ‘Vital signs and other observations used to detect deterioration in pregnant women: an analysis of vital sign charts in consultant-led maternity units’ was accepted by the International Journal of Obstetric Anesthesia published by Elsevier [3]. On Friday The Lancet published correspondence from FHSS Post-Doc. Researcher Dr. Pramod Regmi and FHSS Ph.D. student Folashade Alloh, and BU Visiting Faculty Prof. Padam Simkhada under the title: ‘Mental health in BME groups with diabetes: an overlooked issue?’ [4]. To round off the week on Friday afternoon the editorial office of Kontakt (published by Elsevier) emailed that the editorial ‘The medical and social model of childbirth’ had been accepted for publication [5].

Prof. Edwin van Teijlingen
CMMPH
References:
- Regmi, P., van Teijlingen, E. ‘Balanced Ethics Review: A Guide for Institutional Review Board Members’ by Whitney, Simon N., Springer, (2015) ISBN: 9783319207056 (pb) (book review), Sociological Research Online 2017; 22(1) http://www.socresonline.org.uk/22/1/reviews/3.html
- Simkhada, P.P., Regmi, P.R., van Teijlingen, E., Aryal, N. Identifying the gaps in Nepalese migrant workers’ health and well-being: A review of the literature, Journal of Travel Medicine (Accepted).
- Smith, G.B., Isaacs, R., Andrews, L., Wee, M.Y.K., van Teijlingen, E., Bick, D.E., Hundley, V. Vital signs and other observations used to detect deterioration in pregnant women: an analysis of vital sign charts in consultant-led maternity units, International Journal of Obstetric Anesthesia (Accepted).
- Regmi, P., Alloh, F., Pant, P.R., Simkhada, P., van Teijlingen, E. (2017) Mental health in BME groups with diabetes: an overlooked issue? The Lancet, 389: 904-905.
- van Teijlingen, E. The medical and social model of childbirth, Kontakt (Accepted.
New book review published by Dr. Pramod Regmi on research ethics
This week saw the publication of the latest issue of the internet-based journal Sociological Research Online. In this issue Dr. Pramod Regmi and Prof. Edwin van Teijlingen published a book review of Balanced Ethics Review: A Guide for Institutional Review Board Members written by the American academic Simon Whitney. [1] In doing so they continue the tradition of FHSS scholars contributing to the research ethics debate. For example, Regmi and colleagues recently had a paper accepted on their insights into research in low-income countries in the journal Developing World Bioethics.[2] Whilst a 2012 FHSS-led paper stressed that researchers conducting research in low-income countries need to apply for research ethics approval to the relevant local authority, if national legislation requires one to do so.[3]
Looking better a little further back, Professor Emerita Immy Holloway wrote about the researcher who may have (potentially) conflicting roles namely those of researcher and health care professional.[4] Whilst a combination of midwifery researchers in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) highlighted the problems faced by practitioners doing research in their field of practice with perhaps the risk of blurring professional and research ethics, as balancing competing ethical concerns between protecting research participants and over-managing the ethical process can be problematic.[5-6] The latter issue of management and regulation of research ethics has recognised as getting more and more cumbersome and bureaucratic.[7-8]
Two further publications by Prof. Ashencaen Crabtree have added to the pool of FHSS publication on research ethics.[9-10] The first one, a book, addressed the problematic issue of gate-keepers in research together with the ethics of critical observation of abuse (potential or actual), as well as the ethics of advocating on behalf of research participants.[9] The second paper covered issues around working with research participants who are regarded as ‘vulnerable’ in a study into the context of care and patient/service user experiences.[10]
Whilst Prof. Parker has highlighted the benefits and dangers of using email and the Internet for social and health research.[11] An even newer research approach is the use of discussion boards as sources of data, which brings its own ethical dilemmas.[12]
In 2010-11 Prof. Parker and colleagues explored in two separate papers the contested meanings and difficulties associated with informed consent, highlighting challenges raised by an almost unquestioned acceptance of biomedical research ethics in social research and questioning whether potential ‘harm’ is different in this context.[13-14]
Prof. Hundley and colleagues discussed the ethical challenges involved in conducting a cluster randomised controlled trial, where getting informed consent can be complication.[15] Whilst it is worth reminding researchers that in issues of informed consent during pregnancy and childbirth one has to consider the potential for harm to two participants.[16]
References
- Regmi, P., van Teijlingen, E. (2017) ‘Balanced Ethics Review: A Guide for Institutional Review Board Members’ by Whitney, Simon N., Springer, (2015) ISBN: 9783319207056 (pb) (book review), Sociological Research Online 22(1) http://www.socresonline.org.uk/22/1/reviews/3.html
- Regmi, PR., Aryal, N., Kurmi, O., Pant, PR., van Teijlingen, E., Wasti, P.P. (forthcoming Informed consent in health research: challenges and barriers in low-and middle-income countries with specific reference to Nepal, Developing World Bioethics.
- van Teijlingen E.R., Simkhada, P.P. (2012) Ethical approval in developing countries is not optional, Journal of Medical Ethics 38:428-430.
- Holloway, I., Wheeler, S. (1995) Ethical Issues in Qualitative Nursing Research, Nursing Ethics 2: 223-232. http://nej.sagepub.com/content/2/3/223.full.pdf+html
- Ryan, K., Brown, B., Wilkins, C., Taylor, A., Arnold, R., Angell, C., van Teijlingen, E. (2011) Which hat am I wearing today? Practicing midwives doing research, Evidence-Based Midwifery 9(1): 4-8.
- van Teijlingen, E.R., Cheyne, H.L. (2004) Ethics in midwifery research, RCM Midwives Journal 7 (5): 208-10.
- van Teijlingen, E. (2006) Reply to Robert Dingwall’s Plenary ‘Confronting the Anti-Democrats: The unethical Nature of Ethical Regulation in Social Science, MSo (Medical Sociology online) 1: 59-60 www.medicalsociologyonline.org/archives/issue1/pdf/reply_rob.pdf
- van Teijlingen, E., Douglas, F., Torrance, N. (2008) Clinical governance and research ethics as barriers to UK low-risk population-based health research? BMC Public Health 8(396) www.biomedcentral.com/content/pdf/1471-2458-8-396.pdf
- Ashencaen Crabtree, S. (2012) Rainforest Asylum: The enduring legacy of colonial psychiatric care in Malaysia, London: Whiting & Birch.
- Ashencaen Crabtree, S. (2013) Research ethics approval processes and the moral enterprise of ethnography. Ethics & Social Welfare. Advance Access: DOI:10.1080/17496535.2012.703683
- Bond, C.S, Ahmed, O.H., Hind, M., Thomas, B., Hewitt-Taylor, J. (2013) The Conceptual and Practical Ethical Dilemmas of Using Health Discussion Board Posts as Research Data, Journal of Medical Internet Research 15(6):e112) Web address: http://www.jmir.org/2013/6/e112/
- Parker, J. (2008) Email, ethics and data collection in social work research: some reflections from a research project, Evidence & Policy: A Journal of Research, Debate & Practice, 4(1): 75-83.
- Hundley, V., Cheyne, H.C., Bland, J.M., Styles, M., Barnett, C.A. (2010) So you want to conduct a cluster randomised controlled trial? Lessons from a national cluster trial of early labour, Journal of Evaluation in Clinical Practice 16: 632-638
- Helmreich, R.J., Hundley, V., Norman, A., Ighedosa, J., Chow, E. (2007) Research in pregnant women: the challenges of informed consent, Nursing for Women’s Health 11(6): 576-585.
- Parker, J., Penhale, B., Stanley, D., (2010). Problem or safeguard? Research ethics review in social care research and the Mental Capacity Act 2005. Social Care & Neurodisability, 1(2): 22-32.
- Parker, J., Penhale, B., Stanley, D. (2011) Research ethics review: social care and social science research and the Mental Capacity Act 2005, Ethics & Social Welfare, 5(4): 380-400.
Professor Jo Adams Keynote PPI Seminar
Making research meaningful and accessible to patients: Why patient and public involvement is crucial to designing effective health research studies
Date Monday 6th March 2017
Time 3:00 – 4:30 pm
Location EB708, Executive Business Centre, 89 Holdenhurst Road, Lansdowne Campus, Bournemouth University
As part of the Public and Patient Involvement (PPI) in Research seminar series
Biography
Dr Jo Adams is a Professor of Musculoskeletal Health within the Faculty of Health Sciences, University of Southampton. Jo is an occupational therapist by background. She has led both national and international applied translational research programmes related to developing effective self- management approaches for individuals with musculoskeletal diseases. Her research is widely published and she leads collaborative partnerships to improve the translation of research into NHS clinical practice. She is also an experienced educator having taught health care professionals at pre and post registration level for over 20 years
Book your place now: https://patientandpublicinvolvement.eventbrite.co.uk
Refreshments are available and there will be plenty of time for discussion at the seminar end. Any questions please contact:
Dr James Gavin
Email jgavin@bournemouth.ac.uk
Phone +44 (0)1202566303
From Nepal, to BU and back again
Recent BU graduate Dr Pratik Adhikary is currently working alongside BU researcher Professor Edwin van Teijlingen and the Centre of Midwifery, Maternal and Perinatal Health (CMMPH) in Nepal.
The CMMPH have been working on improving maternity care in Nepal for a number of years. They’ve most recently begun looking at the impact of women’s groups on maternal and child health uptake in Pharping- rural Nepal.
A former BU PhD student, Dr Adhikary is in charge of planning and monitoring the study, as well as training local Nepalese data collectors. He also looks after the data entry and the overall evaluation of the study.
As well as this, Newton funding is offering him his first fieldwork post as an independent researcher. Below we follow his journey from a former BU student to a BU staff member.
“I’m originally from Nepal and came to Bournemouth University in 2009 to study for my PhD. This looked at Nepalese migrant workers working in the Middle East and Malaysia – this focused on their physical and mental health, as well as any risks they took in their jobs. Previously, I studied for an MSc in Public Health at the University of Aberdeen, as well as working as a cardiac data collection officer in Aberdeen Royal Infirmary,” says Dr Adhikary.
“Studying at BU was very important for my academic career. I was lucky enough to present my PhD study at an international conference, which provided me with useful feedback from both academics and early career researchers,”
“My academic supervisors Prof van Teijlingen and Dr Steven Keen were instrumental throughout my PhD- in gaining a partial fee waiver, international travel funds to attend conferences and arranging a grant from the open society foundation,”
“As a young researcher, I am planning a number of drafts for publication in 2017. Support from my BU colleagues has given me a unique stepping stone in the academic world,”
“Being at BU has enabled me to grow my researcher’s network and provided me with an insight into the some of the highest quality of research in the world,” says Dr Adhikary, “I’ve always felt at home at BU and I’m keen to continue my research career here! “
You can read one of Dr Adhikary’s PhD papers online for free here
Dr Adhikary was also a co-author on this recent 2016 paper on the BU Research Blog
Public & Patient Involvement (PPI) – Seminar Series
Bournemouth University will be hosting a Public Involvement seminar series throughout March and April, which focusses upon the public/patients working with staff to: 1) prioritise research; 2) advise upon project methodology; 3) design recruitment campaigns; 4) develop research materials; and 5) promote the impact of findings.
Patient and Public Involvement (PPI) has broad application to research beyond Health and Social Care, allowing the public actively act as participants. Direct benefits to researchers include: ensuring research quality, credibility and relevance; public accountability and insights; and enhancing research funding.
Students, staff and the public are invited to the seminar series. UGR and PGR students attending three or more seminars will be eligible to apply for an opportunity to run their own PPI advisory group with hip-replacement patients. This will be supported by ORI and the Department of Sport and Physical Activity, and has ongoing potential for conference presentation and journal article preparation.
Patient & Public Involvement (PPI) Seminar Series
Location EB708, Executive Business Centre, Lansdowne Campus
Monday 6th March, 3-4.30 pm
Why PPI is crucial to designing effective health research studies
Professor Jo Adams, Professor Musculoskeletal Health, University of Southampton
Wednesday 15th March, 3-4.30 pm
Importance of public involvement in research design: an orthopaedic case study
Lisa Gale-Andrews & Dr Zoe Sheppard, Faculty of Health and Social Sciences, Bournemouth University
Monday 3rd April, 3-4.30 pm
Recruiting and supporting participants to engage in meaningful PPI
Dr Mel Hughes & Angela Warren, Carer and Service User Partnership, Bournemouth University
Monday 24th April, 11-12.30 pm
How can today’s patient help research tackle tomorrow’s health challenges?
Simon Denegri National Director, Patients and the Public in Research (INVOLVE)
Book your place now: https://patientandpublicinvolvement.eventbrite.co.uk
Refreshments are available and there will be plenty of time for discussion at the seminar end. Any questions please contact:
Dr James Gavin
Email jgavin@bournemouth.ac.uk
Phone +44 (0)1202566303
Phone +44 (0)1202566303
British Academy Visit – reserve your place now!
The British Academy is returning to BU on 8 March 2017. This is an invaluable opportunity to find out more about the international and domestic funding available through the organisation. For those of you who are not familiar with the British Academy, it is the UK’s leading independent body for the humanities and social sciences, promoting funding, knowledge exchange and providing independent advice within the humanities.
The session will last just over 1 hour (13:00-14:15) and will comprise a presentation focusing on international and domestic funding opportunities along with an overview of the British Academy, followed by a Q&A session.
Representatives of the British Academy will be available to answer any individual queries not covered in the presentation or Q&A session, and members of the Research and Knowledge Exchange Office will be on hand should you wish to discuss BU’s processes for bidding to the organisation.
Places for this event can be reserved through Organisational Development here.
New paper published by CMMPH’s Dr. Susan Way
This week saw the pre-publication of ‘Core principles to reduce current variations that exist in grading of midwifery practice in the United Kingdom’ in Nurse Education in Practice. This paper is co-authored by Dr. Susan Way in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH). The authors argue that these core principles could contribute to curriculum development in midwifery and other professions internationally.
Congratulations!
Prof. Edwin van Teijlingen
Reference:
- Fisher, M., Way, S., Chenery-Morris, S., Jackson, J., Bower, H.
(2017) Core principles to reduce current variations that exist in grading of midwifery practice in the United Kingdom, Nurse Education in Practice (forthcoming) see: http://www.nurseeducationinpractice.com/article/S1471-5953(17)30092-6/abstract
NIHR webinar: How nurses can build a career in research – 11am on Wednesday 22 Feb
Nurses are in a unique position on the frontline to see where the gaps are in delivering care and what questions need answering. Pursuing a clinical academic career can provide a stimulating and rewarding career pathway.
Training and career development awards from the National institute for Health Research (NIHR) range across all levels, are open to a wide range of professions and are designed to suit different working arrangements and career pathways.
This special one hour webinar, specifically for nurses, will explore the opportunities available to nurses from the NIHR to pursue a clinical academic career.
This webinar will cover:
- An overview of the funding opportunities available from the NIHR for nurses to pursue a clinical academic career
- Details about the HEE/NIHR Integrated Clinical Academic Programme (for non-medical professions) – including advice and guidance on applying
- Some of the challenges nurses can face and tips on how to overcome them
- A live Q&A session
The webinar will be presented by Dr Pete Thompson, Assistant Director at the NIHR Trainees Coordinating Centre and HEE/NIHR Senior Clinical Research Fellow Kirsty Winkley, Specialist Diabetes Nurse.
You can register for the webinar via the following link: http://bit.ly/researchcareersfornurses
If you have any issues when registering please email tcc@nihr.ac.uk.
Don’t forget, your local branch of the NIHR Research Design Service is based within the BU Clinical Research Unit (BUCRU) on the 5th floor of Royal London House. Feel free to pop in and see us, call us on 61939 or send us an email.
CPD study findings presented in Kathmandu
Today we offered preliminary feedback to key stakeholders in Kathmandu as part of our research into CPD (Continuous Professional Development) for nurses in Nepal. Today’s presentation is party funded by LJMU (Liverpool John Moores University) and partly funded by BU’s Centre for Excellence in Learning (CEL). Late 2016 CEL funded the qualitative part of our research project. In this CPD project we work with representatives of the Ministry of Health , the Ministry of Education, the Nepal Nursing Association and the Nursing Council, and providers of Nursing Education (both Government-run universities and private colleges).
Today key presenter was BU Visiting Faculty Dr. Bibha Simkhada (based at LJMU). The event was opened by Associate Professor Chandra Kala Sharma, who is also the president of the Nepal Nursing Association (lighting the traditional lamp in photo right).
Our BU contributors, Dr. Catherine Angell and Prof. Edwin van Teijlingen, are both based in the Centre for Midwifery and Maternal & Perinatal Health (CMMPH). We are grateful to our collaborators in Nepal, especially Dr. Sujan Marahatta at Manmohan Memorial Institute of Health Sciences, for organising this event in our absence. The CPD research project is truly a FUSION project in the field of nursing & midwifery since it links Research in the field of Education to help improve Practice in Nepal. Further information can be found on a previous blog post, click here!
Prof. Edwin van Teijlingen
CMMPH
New paper CMMPH PhD student Sheetal Sharma
Congratulations to Sheetal Sharma, postgraduate student in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) whose latest paper on the process of the research in her PhD fieldwork was accepted today by the Journal of Asian Midwives [1]. Sheetal used an innovative mixed-methods evaluation which was applied to a long-running maternity intervention in rural Nepal. The intervention has been supported for nearly seven years by Green Tara Trust, a Buddhist charity based in London. Sheetal’s supervisors are supervisors are Prof. Vanora Hundley, Prof. Edwin van Teijlingen, Dr. Catherine Angell (all in CMMPH) and Prof. Padam Simkhada, who is Visiting Faculty in the Faculty of Health & Social Sciences and based at Liverpool John Moores University.
This paper is part of a larger body of health research work conducted by CMMPH in Nepal.
Reference:
Sharma, S., Simkhada, P., van Teijlingen, E., Stephens J, Hundley, V., Angell, C. (2017) Evaluation of Maternity Care Intervention in Rural Nepal: Lessons learnt, Journal of Asian Midwives (accepted Jan. 2017).
HE policy update w/e 27th January 2017
Industrial Strategy Green Paper
The Government launched the Industrial Strategy Green Paper and consultation this week. The paper focuses on improving Britain’s innovation and productivity in key areas alongside upskilling the workforce to become world leading. The government suggest a number of areas of industry specialism that should be supported:
- clean energy
- robotics
- healthcare
- space technology
- quantum technology
- advanced computing and communications
The document frequently references the role of Universities as innovation leaders pushing for commercialisation and greater productive cooperation with business. It states that the ‘neglect of technical education’ should be redressed and insinuates that higher-level technical education will be pushed towards the new Institutes of Technology (£170 government investment announced – see below). There is an emphasis on rebalancing the difference in Britain’s economic geography through infrastructure investment. In addition, it criticises how UK research funding is currently heavily invested in the ‘golden triangle’ (Oxford, Cambridge, London) and calls to build on research strengths in businesses as well as other universities. The strategy has a strong focus on STEM and Wonkhe have reported that The British Academy are urging the government not to forget investment in social sciences and humanities teaching and research, which they argue are vital to the continued development of the UK’s services sectors.
The consultation ends in April, we’ll be in touch shortly about how you can contribute to a BU response.
While the strategy has only just been launched it was preceded by the announcement of the new Industrial Strategy Challenge Fund (Nov 2016) and consultative workshops. The workshops aimed to ensure that the challenges identified match UK business capability and are based on the best available evidence for scientific and commercial success on the global stage. The challenges mirror the industry specialisms proposed in the green paper but also mention the creative industries and integrated cities. The workshops conclude this week, implementation plans are expected to follow from the government and the first challenge is expected to be announced in March.
In an interesting article in The Conversation Graham Galbraith, VC at Portsmouth, urges Universities to shun new institutions for innovation and instead form a network of hubs building on relationships with employers, skills organisations and FE colleges. Furthermore he resists the government’s distinction between academic and technical education, seeing the productivity answer through flexible routes to university study and developing skills courses that employers need in accessible ways. He believes the university sector would deliver this far more quickly than new Institutes of Technology. Galbraith also criticises REF 2021: “The government wants the UK to be better at commercialising its world-class, basic research. But the… require[ment]…to include all academic staff…will have the effect of making universities re-balance their staff’s priorities so that there is more focus only on peer-reviewed research and less on outward-facing activities like business collaborations.”
Brexit –The Supreme Court has ruled that Parliament must vote to trigger Article 50 which begins the Brexit process. The government timescale is to trigger Article 50 by end of March and to this end they have introduced a European Withdrawal Bill (EWB). The European Withdrawal Bill gives the PM the power to notify the European Council of the UK’s intention to withdrawn from the EU through the required Act of Parliament. It is being fast tracked through Parliament. Parliamentary time is scheduled for 31 Jan, 1 Feb, 6-8 Feb. The House of Commons Education Select Committee continues visits to Universities (Oxford, UCL) to examine impact of Brexit on HE. At the UCL visit (Wednesday) Michael Arthur (Provost) broke the UCAS data embargo revealing a 7% drop in EU applicants in the current cycle. The Guardian leads with ‘first decrease after almost a decade of unbroken growth blamed on… Brexit’. Committee Chair, Neil Carmichael is reported on Twitter as asking whether HE needs a sector-specific Brexit deal – panel response ‘yes absolutely!’
Higher Education and Research Bill (HERB) – The Lords continue to scrutinise the HERB carefully with the long list of amendments. The list has stopped growing quite so quickly but new amendments proposed this week include one to set up a new UKRI visa department that will sponsor academics (507ZA). So far apart form the first one, no amendments other than government amendments have been passed, but the level of debate and the length of the list suggests that there may have to be some concessions by the government. James Younger, the government lead on the Bill in the Lords, wrote to Peers on 25th January about the bill.
Given the timing of the Brexit discussions, Wonkhe speculate that to achieve the timescales for the Bill and to clear sufficient parliamentary time for the European Withdrawal Bill to be passed the government may make concessions on HERB. Key discussions this week:
- NSS statistically unfit for TEF – Lord Lipsey discussed the statistical inadequacies of NSS and the implication for this as a TEF metric. “The NSS in the TEF is using—or rather, abusing—statistics for a purpose for which the NSS was never designed.” Lipsey acknowledged that the Government have gently retreated from the emphasis on NSS scores – in their latest instructions to assessors they stated: “assessors should be careful not to overweight information coming from the NSS“. This was reinforced by Chris Husbands, Chair of TEF, who informed a meeting at the House of Commons this week that his team would “not be overweighting the NSS” when awarding ratings this year. The proposed amendment was withdrawn after Viscount Younger: stressed the NSS was not the primary source of information for the TEF and that the framework was about much more than metrics. “Providers submit additional evidence alongside their metrics, and this evidence will be given significant weight by the panel”. HE continued: “we cannot ignore the only credible, widely used metrics that captures students’ views”.
- There were also debates about the gold/silver/bronze ratings and the government provided reassurance that Bronze was “above a high quality baseline”. This contradicts statements made by some in DfE before the final specification was agreed about Bronze institutions “needing improvement”. The panel have praised positive communication on this subject.
- Validation – The government have issued a factsheet for the Lords on Validation which provides explanation from the perspective of an alternative provider seeking to enter a validation arrangement. It describes Clause 46 of HERB, which gives the Office for Students (OfS) power to commission authorised HE providers to provide validation if other providers decline. It states such authorised providers are free to choose whether they wish offer this service, however once an arrangement is in place the OfS could require them to validate award) delivered by other registered HE providers. The commissioned arrangement would be made public. The controversial Clause 47 which appoints OfS as the validator of last resort was also discussed. The controversy arises as OfS isn’t an academic institution and doesn’t hold Degree Awarding Powers. The OfS will advise the Secretary of State (SoS) if intervention is required (likely through an evidence based report and stakeholder consultation) and the SoS would then authorise the intervention through regulation which is subject to parliamentary scrutiny.
- Contract Cheating – The amendment proposed by Lord Storey on contract cheating was withdrawn following Government reassurance. Lord Storey provided a passionate discourse including detailed sector information and cheating statistics. Baroness Goldie confirmed that the Government were addressing cheating referencing the (Aug 2016 published) QAA investigation and Jo Johnson’s commitment to close working to progress the recommendations. She revealed that the Minster would shortly announce a new initiative to tackle cheating in conjunction with QAA, Universities UK, NUS and HEFCE.
TEF
The 15 page written submissions for year 2 of the TEF were finalised and submitted this week, and this was the final opportunity for institutions to opt out of the TEF. Although there may have been others who have not published their positions, most Scottish Universities have opted out, as well as the Open University. Given the difference in the Scottish funding system they have less to gain from the TEF – but the 4 who have opted in have noted international reputation as a crucial factor. The OU explain their non-participation is due to the poor fit of the metrics with their social mobility demographic.
And the future of the TEF? According to Research Professional, a German academic has criticised the way that teaching excellence funding is being used in Germany.
“Whereas lower-ranked universities have tended to spread their funding from the programme thinly across faculties and courses, higher-ranked institutions have had the luxury of being able to focus on priority areas, the analysis found.
“You are starting to see emerging differences between disciplines taught at different universities,” Bloch told Times Higher Education on 17 January. For the first time, elite universities are starting to build up strong institutional identities when it comes to teaching, in an effort to get further ahead.
“It will be a long time before we reach the stratification that you see in the American system [around teaching], but we are seeing a difference for the first time in how resources in teaching are distributed,” he said.
UCAS 2016 entrants report – this data includes applications, offers and placed rates by sex, area background (LPN-polar 3), and ethnicity. BU’s report can be selected from the drop down menu towards the end of the webpage. The Guardian reports on the lower offer rates to black applicants. Wonkhe covers the HEIs that have a significant upward or downward trend in acceptances
Research Impact training: Parliament are running a Research, Impact and the UK Parliament event in Bristol on Wednesday 1 March. It covers the basics of the Parliamentary process and how academics can engage with parliament through their knowledge and research to inform scrutiny and legislation, including the impact of influencing policy to support REF submissions.
Scottish Government publishes Maternity Review
Yesterday the Scottish Government has published its national maternity review ‘The Best Start – A Five Year Forward Plan for Maternity and Neonatal Care in Scotland’. The report has been widely welcomed and gained, among others, the full support from the Royal College of Midwives (RCM). Mary Ross-Davie, RCM Director for Scotland noted: “This is a defining moment for maternity services in Scotland and will be a seismic shift for our maternity services. The plan has the potential to revolutionise maternity care, to deliver safer and better services for women, babies and their families, and to improve the health of our population.”
The Best Start recognises that maternity and neonatal services matter to the health and wellbeing of Scotland’s people. The report’s underpinning is more of a social model of childbirth as it observes that “The health, development, social, and economic consequences of childbirth and the early weeks of life are profound, and the impact, both positive and negative, is felt by individual families and communities as well as across the whole of society.”
Having lived for 25 years in Scotland I am happy to have made a small contribution to this import report.
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health
It’s a girl, and then there is silence…..
The second day of THET training showed again that gender is a critical issue in Nawalparasi, southern Nepal. We asked the ANMs about things they had changed in their own practice. Several ANMs said that they had changed the way they worked. Now they see that having a baby girl can be a significant mental health issue as it causes the women a lot of stress. Interestingly, it also caused them as health workers considerable stress The ANMs said that they had started to counsel families of girl children. They say they emphasise that it is okay to have girls.
This ties in with feedback comments from yesterday in a different group of trainees. In Sunday’s training, one ANM answered when asked about stress at work, that she finds it stressful that a room falls silent when a baby girl is born. She commented that this happens when the family is obviously hoping for a boy. She added that at the very moment a baby girl is born, the family immediately falls silent. She said that this is a great source of stress to her as a health worker.
Coincidently next door to the training venue in Nawalparasi a Hindu wedding has been taking place today. This colourful spectacle represents different roles and expectations of men and women, the bride and the groom, but also the other guests here in Nepal. Weddings everywhere are ceremonies that reflect society. Seeing the wedding from close by and listening to the ANMs over these last two days, we reflected at the end of today that these ANMs are acting bravely in raising such a culturally sensitive issue in their practice, in this largely patriarchal rural society.

Flora Douglas & Edwin van Teijlingen
CMMPH
BU Visiting Fellow Dr. Flora Douglas speaking as THET volunteer in Nepal
Today we had our first training session of the final THET mental health in maternity care project. UK volunteer Dr. Flora Douglas spoke about key aspects of health promotion and focused particularly on notions of community-based approaches. Flora is based at the University of Aberdeen and she is also a Visiting Fellow in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH). This was her first visit to Nepal. She was inspired to volunteer as she had been a MSc supervisor some years ago on a project that related to the Green Tara Nepal health promotion intervention. Bournemouth University has been working with Green Tara Trust, a Buddhist charity based in London for many years.
Yesterday Flora had visited one of the 20 birthing centres in Nawalparasi, the district where the THET training takes place. Flora was very humbled by the experiences of the community-based maternity care workers in the light of many constrains. She said: “I have seen pictures of such birthing centres and read about them in the literature, but it is not until you see them first hand that you realise how staff have to work with such limited resources.
The attendees, who are nearly ANMs (auxiliary nurse midwives) were highly enthusiastic and very keen to discuss and learn. They shared some very personal and touching stories about their practice. Flora added: “I am very struck by their understanding of the importance of the social and cultural determinants of both psychical and mental health.” Many found they had learnt something in previous THET sessions in 2016 about communication with women and counselling family members about mental health, and perhaps most importantly, listening more to women. Last, but not least, Flora commented on the dedication of the participants: “At least two of the participants told me they travelled ten hours to get here for our one-day workshop. This really shocked me, particularly having seen the quality of the roads and public transport!”
Prof. Edwin van Teijlingen
CMMPH
Training preparation in rural Nepal
Yesterday we come down from Kathmandu, the capital of Nepal, to our THET training area in Nawalparasi. Today we are starting our sixth and last training session on the Mental health training for community-based maternity care providers. Interesting we are starting training on a Sunday as Nepal is largely a Hindu country and most workers have only a one-day weekend (which is the Saturday). This BU-led project is a collaboration between the Centre for Midwifery, Maternal & Perinatal Health (CMMPH), Tribhuvan University (Nepal’s oldest university) and Liverpool John Moores University (LJMU). The project receives funding from DFID, and is managed through THET and supported locally in Nepal by a charity Green Tara Nepal.
The landscape in the photo gives an idea of how rural this part of Nepal is. Nawalparasi is situated in the south of Nepal the India border. It is also largely very flat, not like the Nepal most people envisage namely that of the Himalayans and of Mount Everest. The flatness makes a Dutchman feel at home though.
The project depends on volunteers who work in the health sector in the UK to come out and spend their time and energy preparing and delivering the training. Our project also could not work without the logistical support from Green Tara Nepal and our academic colleagues at Tribhuvan University. The last photo shows one of the UK volunteers Dr. Flora Douglas with the translator Shiwani Manandhar on the way to the training venue.

Prof. Edwin van Teijlingen (from Nepal)
CMMPH
Wanted! External Bid Writers
As part of the Research and Knowledge Exchange Development Framework, Bournemouth University is expanding its pool of external bid writing expertise, through a tendering process.
If you have worked with a good bid writer or, as an external subscriber to this blog, you have written successful research funding applications, please contactus in the Research & Knowledge Exchange Office
We are particularly interested in those who can provide short courses, one-to-one support, bid writing retreats, application review or a range of these and related activities.
Examples of key funders include:
- British Academy
- European Commission funds including Horizon 2020
- Innovate UK
- Leverhulme Trust
- National Institutes of Health and other US Federal funders
- Research Councils
- Royal Society
- Wellcome Trust
- etc.
We look forward to hearing from you.












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